Carley Banks, A.D.T
Advanced Practice Dental Therapist in Faribault, MN. Individual provider (NPI-1).
NPI number1023541695
StatusActive
Last updated in NPPESJul 24, 2018
Details
- NPI
- 1023541695
- Entity type
- Individual (NPI-1)
- Name
- Carley Banks
- Credential
- A.D.T
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2017
- Last updated
- Jul 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125K00000X | Advanced Practice Dental Therapist | DT17 | MN | Yes |
Other names
- Carley Banks (Other Name)
Practice location
1575 20th St NwFaribault, MN 55021
Phone 507-334-6433
Mailing address
1575 20th St NwSte 102
Faribault, MN 55021-2930
Phone 507-334-6433
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